D- dig level 2ng/ml or greater is toxic
I- inhibits sodium potassium ATPase
G-GI or CNS signs indicate adverse effects (N/A for adult toxicity, stomach upset in older child
O-output, intake, and weight should be monitored
X- dont give if pulse is less than 60 bpm
I- indicated for CHF- a-fib
N- note K+, ECG, and renal function tests
S- stim alpha and beta adrenergic receptors
H- hypovolemia- should be corrected before using drug
O- output of urine should increase
C- constriction of blood vessels
K- keep monitoring vital signs every 5-15 min
Nitroglycerin
A- avoid alcohol
N- note BP and apical pulse before admin
G- given to relax the vascular smooth system
I- indicated for angina pectoris
N-note for postural hypotension; rise slowly
A- advice client to see medical assistance if pain is unrelieved after 3 doses with 5 min interval
ACE inhibitors
S- suppresses renin angiotensin aldosterone system
W- warn clinet with renal or thyroid diseases
E- ends with pril- captopril (capoten) enalapril (vasotec)
R- rise slowly to reduce orthostatic hypotension
T- treatment of htn
E- evaluate BP
Beta- adrenergic blockers
end in lol- atenolol (Tenormin)
B- bradycardia
B- blood pressure too low
B- bronchial constriction
B- blood sugar is masked when low
Calcium channel blocker
amlodipine (norvasc), diltiazem (cardizem), nifedipine (procardia)
B- blocks calcium access to cells
I- indicated for htn
L- let client take drug with milk or meal
L- light and moisture- protect
D- diet; increase K+ for all except aldactone
I- intake, output, daily weight monitoring
U- undesirable effects- F&E imbalance
R- review HR, BP, and electrolytes
E- elderly careful, evening dose not recommended
T- take with or after meals and in AM
I- incrase risk of orthostatic hypotension, move slowly
C- cancel alcohol and cigs
